上海市青浦区2018—2024年哨点医院中毒病例流行特征

Epidemiological characteristics of poisoning cases reported by a sentinel hospital in Qingpu District of Shanghai City from 2018 to 2024

  • 摘要: 【目的】 探索上海市青浦区中毒病例的流行病学特征,为辖区预防和控制中毒发生提供科学依据。【方法】 回顾性采集哨点医院2018—2024年收治的3415例中毒病例信息,对中毒发生原因、毒物种类、性别年龄分布、时间分布等进行统计描述,采用χ2检验分析组间差异。【结果】 中毒病例中男性占64.30%,年龄以20~39岁组(占51.27%)最多,前三位中毒原因分别为滥用酒精(61.00%)、自杀(15.20%)、误饮误服(9.93%)。不同性别和年龄组中毒病例在各种中毒原因上的分布差异均具有统计学意义(P<0.001)。10岁及以下病例中,中毒原因以意外/灾害事件和误饮误服为主;20~69岁年龄段病例,均以滥用酒精为第一位原因;11~19岁和70岁及以上病例的中毒原因以自杀为首位原因。毒物分类有酒精(61.41%)、药物(21.93%)、农药或鼠药(6.21%)、有毒气体或液体(5.68%)、有毒动物(3.95%);不同性别中毒病例的毒物分类构成不同(χ2=714.8,P<0.001),男性以酒精中毒为主(占78.32%),女性以药物中毒为主(占45.53%)。中毒发生在1月、7月和8月份为多,酒精中毒以1月份最多,农药或鼠药以6—7月份最多,有毒气体或液体(CO占69.59%)中毒在12月和1月份最多,有毒动物(蜂占97.78%)中毒在6—8月份最多。中毒病例中死亡8人,病死率0.23%。【结论】 该区中毒形势不容乐观,应针对不同人群中毒特征和明显高发期开展防控工作,降低辖区中毒发生率。

     

    Abstract: Objective To explore the epidemiological characteristics of poisoning cases in Qingpu District of Shanghai City, and to provide a scientific basis for the prevention and control of poisoning within the jurisdiction. Methods A retrospective collection was conducted to gather the information on 3,415 poisoning cases admitted to sentinel hospitals from 2018 to 2024. Statistical descriptions were performed regarding the causes of poisoning, types of poisons, gender and age distribution, and temporal distribution. Chi-square tests were used to analyze differences between groups. Results Males accounted for 64.30% of the poisoning cases, with the age concentrated in the 20-39 group (51.27%). The top three causes of poisoning were alcohol abuse (61.00%), suicide (15.20%), and accidental ingestion (9.93%). The distribution differences in various poisoning causes by gender and age groups were statistically significant (P< 0.001). Among cases aged 10 years old and below, the main causes of poisoning were accidents/disasters and accidental ingestion; among cases aged 20 to 69 years old, alcohol abuse was the primary cause; among cases aged 11 to 19 years old and 70 years old and above, suicide was the primary cause of poisoning. Poison classifications included alcohol (61.41%), drugs (21.93%), pesticides or rodenticides (6.21%), toxic gases or liquids (5.68%), and toxic animals (3.95%). The distribution of poison types differed significantly by gender (χ2=714.8, P < 0.001); males were primarily poisoned by alcohol (78.32%), while females were primarily poisoned by drugs (45.53%). Poisoning occurred most frequently in January, July, and August. Alcohol poisoning peaked in January; pesticide or rodenticide poisoning peaked in June-July; toxic gas or liquid poisoning (CO accounted for 69.59%) peaked in December and January; toxic animal poisoning (bee stings accounted for 97.78%) peaked from June to August. There were 8 deaths among the poisoning cases, with a mortality rate of 0.23%. Conclusion The situation of poisoning in this district is relatively severe. Prevention and control measures targeting the characteristics of poisoning in different populations and the distinct peak periods should be implemented to reduce the incidence of poisoning in the district.

     

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